FIRST NATIONS COMMUNITY HEALTHSOURCE (NPI# 1376979484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376979484 |
| Entity Type | Organization |
| Organization Name | FIRST NATIONS COMMUNITY HEALTHSOURCE |
| Other Organization Name | FIRST NATIONS COMMUNITY HEALTHSOURCE PHARMACY |
| Practice Address |
625 Truman St Ne Albuquerque NM 87110-6443 |
| Mailing Address |
5608 Zuni Rd Se Albuquerque NM 87108-2926 |
| Practice Telephone | 5052626560 |
| Practice Fax Number | 5052657045 |
| Mailing Telephone | 5052626560 |
| Mailing Fax Number | 5052657045 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | LANAEDA ORTIZ (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Telephone | 5052626560 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST NATIONS COMMUNITY HEALTHSOURCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| First Nations Community HealthSource Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821322280 | First Nations Community Healthsource | Case Management | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2009-10-01 |
| Street Address |
625 TRUMAN ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817303 | Gail E Jackson | Counselor | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2005-11-04 |
| 1437624988 | Juliana Loretto | Social Worker | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2018-10-11 |
| 1609393875 | Carol Maes | Social Worker | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2017-08-28 |
| 1972049104 | Tess Yong Kim | Counselor | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2017-01-11 |
| 1437346566 | Thomas Paul Dominguez | Psychologist | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2007-10-02 |
| 1073520029 | Elaine Thomas | Internal Medicine | 625 Truman St Ne, Unm Truman Street Health Services, Albuquerque, NM 87110-6443 | 2006-08-02 |
| 1689681637 | Steven Williams | Internal Medicine | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2006-08-02 |
| 1952336935 | Judith Baker | Physician Assistant | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212534 | Keishla Marie Cortes Vera | Pharmacist | 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 | 2020-10-15 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1689280125 | Perry Pedersen | Pharmacist | 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 | 2020-09-21 |
| 1891300174 | Veronica Chacon | Pharmacist | 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 | 2020-09-13 |
| 1588275135 | Roopali Sharma | Pharmacist | 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 | 2020-08-16 |
| 1699385104 | Dustin Mayberry | Pharmacist | 4404 Barrett Ave Nw, Albuquerque, NM 87114-6529 | 2020-08-10 |
| 1508499385 | Nicole D Gutierrez | Pharmacist | 6219 Marigold Ct Nw, Albuquerque, NM 87120-3278 | 2020-02-19 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1790326890 | Aaron Milton Lovato | Pharmacist | 7719 Ridgeview Dr Nw, Albuquerque, NM 87120-2864 | 2019-10-01 |
| 1891259628 | Aaron Rivera | Pharmacist | 10909 Estribo St Nw, Albuquerque, NM 87114-6309 | 2019-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on FIRST NATIONS COMMUNITY HEALTHSOURCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.